Organization · NPI-2

Physicians Reference Laboratory LLC

Pathology, Anatomic Pathology & Clinical Pathology · Kansas City, KS

NPI number1801801642

StatusActive

Last updated in NPPESJul 31, 2012

Details

NPI: 1801801642
Entity type: Organization (NPI-2)
Legal business name: Physicians Reference Laboratory LLC
Organization subpart: No
Enumeration date: Jul 30, 2006
Last updated: Jul 31, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	–	–	Yes
291U00000X	Clinical Medical Laboratory	–	–
207ZP0101X	Pathology, Anatomic Pathology	–	–
207ZB0001X	Pathology, Blood Banking & Transfusion Medicine	–	–
207ZC0500X	Pathology, Cytopathology	–	–
207ZD0900X	Pathology, Dermatopathology	–	–
207ZP0007X	Pathology, Molecular Genetic Pathology	–	–
207ZN0500X	Pathology, Neuropathology	–	–

Practice location

8929 Parallel Pkwy
Kansas City, KS 66112-1689

Phone 913-338-4070 · Fax 913-338-4245

Mailing address

7800 W 110th St
Ste 200
Overland Park, KS 66210-2304

Phone 913-338-4070 · Fax 913-338-4245

Authorized official

Gregory J Keitges
Coo
9133384070

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